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DOI: 10.1055/s-2007-986166
© Georg Thieme Verlag Stuttgart · New York
Schmelzmatrixproteine bei der plastischen Deckung singulärer und multipler gingivaler Rezessionen
Root Coverage of Singular and Multiple Gingival Recessions Using Enamel Matrix ProteinsPublication History
Publication Date:
20 August 2007 (online)
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Zur plastischen Deckung von gingivalen Rezessionen existieren diverse parodontalchirurgische Verfahren. In dem vorliegenden Beitrag wird speziell die Rezessionsdeckung mittels koronalem Verschiebelappen unter Verwendung von Schmelzmatrixproteinen beschrieben. Bei adäquater Indikationsstellung lassen sich ästhetische Ziele mit hoher Verlässlichkeit realisieren und zusätzlich verloren gegangene parodontale Strukturen, im Sinne einer wirklichen Regeneration, wiederherstellen. Ausgehend von einem kurzen Überblick über Indikationsstellung, Zielsetzung und prognostische Faktoren werden die wichtigsten Methoden zur plastischen Deckung gingivaler Rezessionen diskutiert. Abschließend werden Operationsprinzipien und die dazugehörige Technik anhand von zwei Patientenfällen dargestellt.
There are several surgical techniques for the coverage of gingival recessions. This article focuses on the root coverage by coronally advanced flap using enamel matrix proteins. Esthetic aims can be achieved by this simple operation technique with high predictability as well as the regeneration of lost periodontal tissues. A discussion of indications for surgical intervention, objectives and prognostic factors is followed by a short review over the most important procedures for root coverage. Finally a detailed description of the particular operation technique and an illustration in two clinical cases is given.
Schlüsselwörter
Rezessionsdeckung - koronaler Verschiebelappen -Schmelzmatrixprotein - Emdogain®
Key Words
Gingival Recession Therapy - Coronally Advanced Flap - Enamel Matrix Proteins - Emdogain®
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Korrespondenzadresse
Dr. Ralf Bürgers
Poliklinik für Zahnärztliche Prothetik Klinikum der Universität Regensburg
Franz-Josef-Strauß-Allee 11
93053 Regenspburg
Email: ralf.buergers@klinik.uni-regensburg.de